Additive Effects of Anxiety and Depression on Body Mass Index among Blacks: Role of Ethnicity and Gender

Shervin Assari

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Additive Effects of Anxiety and Depression on Body Mass Index among Blacks: Role of Ethnicity and Gender

Author(s):

Shervin Assari^1,*

1Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, United States

International Cardiovascular Research Journal:Vol. 8, issue 2; e12029

Published online:Jun 30, 2014

Article type:Research Article

Received:Apr 30, 2017

Accepted:Jan 11, 2014

How to Cite:Assari S. Additive Effects of Anxiety and Depression on Body Mass Index among Blacks: Role of Ethnicity and Gender.Int Cardiovasc Res J.2014;8(2):e12029.

Abstract

Background:: Although many electrocardiographic abnormalities have been reported previously, prolonged QTC interval represented as the most important ECG finding in patients with liver cirrhosis. Echocardiography can detect structural cardiac abnormalities in cirrhotic patients.

Objectives:: The present study aimed to determine the correlation between QTC prolongation and echocardiographic findings in end stage liver cirrhosis.

Methods:: The present study was conducted on 100 patients selected through convenient sampling. We recruited 80 cirrhotic patients with CHILD score > B or MELD score > 15 from the transplantation ward of Nemazee educational hospital. A complete echocardiographic study, including chamber quantification, a complete flow Doppler, and tissue Doppler analysis, was performed for each patient using a GE vivid 3 system equipped with Tissue Doppler Imaging (TDI). Then, twelve-lead ECG was carried out and QTc interval was calculated in all patients. The data were analyzed using the SPSS statistical software (v. 13) and Pearson’s correlation coefficient. P value < 0.05 was considered statistically significant.

Results:: The patients’ age ranged from 20 to 60 years old and 62.5% of them were male. According to the results, the only parameter which was significantly associated with prolonged QTc interval was Left Ventricular End Diastolic Dimension (LVEDD). Additionally, a linear direct relationship was found between corrected QT interval and LVEDD (r = 0.41, P < 0.001).

Conclusions:: The current study showed a positive correlation between QTC prolongation as an electerocardiographic finding and LVEDD in echocardiography of the cirrhotic patients. This may indicate a direct relationship between the electrophysiological problems and the severity of volume overload in cirrhotic patients.

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